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为研究非肠管化升结肠膀胱重建术的临床效果,对10例多发性或浸润性膀胱肿瘤患者和2例晚期结核性膀胱挛缩患者在行全膀胱切除术后施行非肠管化升结肠膀胱重建术。结果手术完成顺利,12例均获随访,除1例术后6个月死亡外,其余11例营养状况良好,无明显的电解质酸碱平衡紊乱,无上尿路积水和新膀胱返流;膀胱平均容量600ml,基本无残余尿,夜尿平均1~2次。术后6个月基本无遗尿现象。认为非肠管化升结肠膀胱重建术是一种安全可靠、功效良好的尿流改道的新方法,具有内压低、无返流、代谢影响小等特点,且可通过自主意识控制排尿,大大改善了患者心理状况,增强了社会生活适应能力,可在临床上推广应用。
To study the clinical effect of non-intestinal ascending and urinary bladder reconstruction, 10 cases of multiple or invasive bladder tumors and 2 patients with advanced tuberculous bladder contracture were subjected to non-intestinal ascending colon rectal bladder reconstruction after total cystectomy. . Results The operation was completed successfully. All 12 cases were followed up. Except one case died 6 months after operation, the other 11 cases were in good nutritional condition, there was no obvious electrolyte acid-base balance disturbance, there was no upper urinary tract hydronephrosis and new bladder regurgitation. The average bladder capacity 600ml, basically no residual urine, nocturia average 1 or 2 times. After 6 months, there was no enuresis. It is considered that the non-intestinal ascending colon bladder reconstruction is a new method with safe, reliable and effective urinary diversion. It has the characteristics of low internal pressure, no backflow, small metabolic impact, and can control urination through self-consciousness, greatly improving The patient’s psychological status has enhanced the adaptability of social life and can be promoted and applied clinically.